<Unavail>

LBN: Walmart Stores East Lp
<Unavail> is an health care organization with primary practice located at 750 Lynn Garden Dr , Kingsport TN 37660-5608. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walmart Stores East Lp can be contacted via phone (423) 408-6162, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
750 Lynn Garden Dr Kingsport TN 37660-5608
Phone: (423) 408-6162
Fax: (423) 408-6161
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 277-6348

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000005681 Tennessee

Profile Details

NPI number 1659757854
LBN Legal business name Walmart Stores East Lp
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2015
Last updated Jun 10th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659757854 NPPES
Other 2153792 PK

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